Catherine Fung-Bagamasbad, FNP
Nurse Practitioner, Family in Jurupa Valley, CA. Individual provider (NPI-1).
NPI number1437979697
StatusActive
Last updated in NPPESSep 8, 2025
Details
- NPI
- 1437979697
- Entity type
- Individual (NPI-1)
- Name
- Catherine Fung-Bagamasbad
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2024
- Certification date
- Sep 8, 2025
- Last updated
- Sep 8, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95032325 | CA | Yes |
Practice location
9415 Mission Blvd Ste PJurupa Valley, CA 92509-2600
Phone 833-865-8263 · Fax 951-332-6397
Mailing address
3992 S Somerston WayOntario, CA 91761-3825
Phone 510-504-0952
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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